| NPI | 1790181436 |
|---|---|
| Other Name | HEALING WATERS |
| Entity Type | Organization |
| Authorized Contact | AMANDA GORECKI President/CEO 678-730-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |