NPI | 1760109052 |
---|---|
Doing Business As | CITY OF KENOSHA WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM WRIGHT Legal Counsel 615-577-5893 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-10-26 |
Last Update Date | 2022-10-26 |