NPI | 1770465007 |
---|---|
Doing Business As | TRIPLE KNOT WELLNESS |
Entity Type | Organization |
Authorized Contact | HALLIE GRANVILLE CEO 360-395-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-09-10 |