| NPI | 1619791563 |
|---|---|
| Doing Business As | BRIDGEPORT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ZACHARY SCHOTT Owner 304-518-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |