| NPI | 1881254175 |
|---|---|
| Former Legal Business Name | VIRA WELLNESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | VANESTER JONEAS Compliance Director 954-805-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |