| NPI | 1871158089 |
|---|---|
| Doing Business As | INDIGO WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES CARTER Owner 702-913-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-07-12 |