| NPI | 1750923173 |
|---|---|
| Doing Business As | ALCHEMY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JON RANDALL FREDERICK Medical Director 804-690-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-02-06 |