NPI | 1821843020 |
---|---|
Doing Business As | 2M0TIV8 HEALTH & WELLNESS EMPOWERMENT |
Entity Type | Organization |
Authorized Contact | REBECCA ANN MCDONALD Owner / Provider 208-291-5553 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2024-04-22 |
Last Update Date | 2024-04-22 |