| NPI | 1548912900 |
|---|---|
| Doing Business As | NOURISHED WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | KELLY VINCENT CEO 916-601-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |