| NPI | 1609589472 |
|---|---|
| Doing Business As | MANIFESTINI WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DAWN PETERSON-LEWIS Owner 804-516-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |