| NPI | 1720615479 |
|---|---|
| Former Legal Business Name | RACINEE HOLISTIC WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | THALIA LAEL MICAH CEO, Founder And Cmo 832-382-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225200000X Physical Therapy Assistant | |
| 225700000X Massage Therapist | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center Health Service | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 374J00000X Doula | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-06-27 |