| NPI | 1851933873 |
|---|---|
| Doing Business As | IKA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | FESTUS EBONKA Program Director 702-515-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |