| NPI | 1568157139 |
|---|---|
| Doing Business As | BALANCED WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER O'DONNELL Member 314-238-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |