| NPI | 1558969626 |
|---|---|
| Doing Business As | OPTIMUM WELLNESS CENTER LLC. |
| Entity Type | Organization |
| Authorized Contact | DARRYL XAVIER WHITEHEAD CEO 410-627-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |