| NPI | 1578583910 |
|---|---|
| Doing Business As | FAWVER WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAY D FAWVER Owner 260-436-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-03-30 |