| NPI | 1689229585 |
|---|---|
| Former Legal Business Name | LAVENDER RETREAT, INC |
| Entity Type | Organization |
| Authorized Contact | JAIME S BOHL Founder/CEO 703-627-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |