| NPI | 1760366900 |
|---|---|
| Doing Business As | NOURISHMENTAL HEALTH NEW MEXICO LLC |
| Entity Type | Organization |
| Authorized Contact | LAUREN GAUNT Owner 816-213-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |