NPI | 1811224231 |
---|---|
Doing Business As | FUSION HEALTH WELLNESS AND RECOVERY |
Entity Type | Organization |
Authorized Contact | LAUREN ELIZABETH LIRA Owner 904-401-4521 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9406) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 5789) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2016-04-20 |