| NPI | 1578050605 |
|---|---|
| Doing Business As | NEW ROADS WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARMAINE WALLEN Owner/Manager 718-669-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-04-14 |