NPI | 1639539349 |
---|---|
Doing Business As | SANCTUARY WELLNESS OF BOCA RATON |
Entity Type | Organization |
Authorized Contact | DEREK MARTIN COO 561-279-5221 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2016-02-24 |
Last Update Date | 2016-03-01 |