NPI | 1548602097 |
---|---|
Doing Business As | INTEGRATED WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | SHANNON L BOLING Operations Office 612-483-9782 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Enumeration Date | 2013-07-25 |
Last Update Date | 2018-04-30 |