| NPI | 1639701873 |
|---|---|
| Doing Business As | THE DIVINE THERAPY AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREA V PACHECO Owner 719-686-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |