| NPI | 1750459160 |
|---|---|
| Other Name | INDIAN RIVER WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | HERMAN ELLIS Medical Director 302-744-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |