| NPI | 1659884047 |
|---|---|
| Doing Business As | HEALING WATERS |
| Entity Type | Organization |
| Authorized Contact | TRAVIS HART Owner 716-308-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |