| NPI | 1710331640 |
|---|---|
| Doing Business As | FAMILY WELLNESS CLINIC RALEIGH |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 0010-02907) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |