| NPI | 1952057887 |
|---|---|
| Former Legal Business Name | INNOVATIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SANDERS Owner 434-260-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |