| NPI | 1902262728 |
|---|---|
| Former Legal Business Name | WELLNESS CARE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | BERNARD L FOSTER Owner 248-703-0047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 173000000X Legal Medicine |
| 174400000X Specialist | |
| 174400000X Specialist | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-09-27 |