NPI | 1558041160 |
---|---|
Doing Business As | EVOLUTION WELLNESS WOMEN'S CENTER |
Entity Type | Organization |
Authorized Contact | SHELLEY SPIRES CEO 229-888-6559 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-19 |