| NPI | 1679054118 |
|---|---|
| Doing Business As | WHITE MOUNTAIN WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | BRETT NICHOLS General Manager 575-937-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: NM 0055C) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |