| NPI | 1962000661 |
|---|---|
| Other Name | SKY LAKES WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER NEWTON Dietitian 541-274-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |