| NPI | 1972221794 |
|---|---|
| Doing Business As | SD WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN AMARO CFO 559-471-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-05-05 |