| NPI | 1679183966 |
|---|---|
| Doing Business As | GLC WELLNESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | NICOLE NASHAYE RICE CEO 346-334-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-19 |