| NPI | 1790085561 |
|---|---|
| Doing Business As | BACK TO EDEN WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | LYNNETTE R BLAKE Owner 772-600-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MM27262) |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2012-03-27 |