| NPI | 1609767383 |
|---|---|
| Doing Business As | PREMISE HEALTH WELLNESS CENTER - SANTA ROSA |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEIZMAN President 615-468-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |