NPI | 1972373371 |
---|---|
Doing Business As | ROOTS OF WELLNESS |
Entity Type | Organization |
Authorized Contact | GENEVIEVE SIMONE HUDGINS Owner/Operator 701-699-4024 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-01-05 |
Last Update Date | 2024-03-11 |