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 |