| NPI | 1649543786 |
|---|---|
| Doing Business As | FUNDAMENTALLY HEALTHY |
| Entity Type | Organization |
| Authorized Contact | JEANEEN MULLENHARD Owner 410-570-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |