| NPI | 1679459424 |
|---|---|
| Former Legal Business Name | NOVA VITA ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | JOYCE JINGJING LAO Excutive Director 628-888-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-11-05 |