NPI | 1720864796 |
---|---|
Former Legal Business Name | WELLNESS OASIS INC |
Entity Type | Organization |
Authorized Contact | MICHELLDA BRADSHAW Owner 662-719-1912 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-09-06 |
Last Update Date | 2023-09-07 |