NPI | 1851088041 |
---|---|
Former Legal Business Name | PEAK WELLNESS, INC. |
Entity Type | Organization |
Authorized Contact | CARLON MORSE COLKER Owner/Medical Director 203-550-2960 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-04-19 |