| 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 |