| NPI | 1679706261 |
|---|---|
| Doing Business As | INTEGRATIVE WELLNESS AND RESEARCH CENTER |
| Entity Type | Organization |
| Authorized Contact | GUY ROBERT BANTA President And CEO 210-477-9242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |