NPI | 1801514476 |
---|---|
Doing Business As | DEEP AUTHENTICITY |
Entity Type | Organization |
Authorized Contact | GINIA BURDICK Owner 719-359-1075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2022-08-18 |
Last Update Date | 2024-01-24 |