| NPI | 1700358314 |
|---|---|
| Doing Business As | VIRAGO WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NICOLE YARDY Owner 207-558-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2024-04-23 |