| NPI | 1720757313 |
|---|---|
| Former Legal Business Name | BEHAVIORAL WELLNESS, INC. |
| Entity Type | Organization |
| Authorized Contact | ANA LOURDES MARTIN-HIDALGO Administrator 305-512-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |