| NPI | 1568974376 |
|---|---|
| Doing Business As | YCO FRIENDLY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARY ANN PETTIT Billing Mgr 888-737-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-16 |