| NPI | 1982407060 |
|---|---|
| Doing Business As | SUBLIME WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TARA EBBS Pa C/CEO And Medical Provider 719-393-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208VP0000X |
| 363AM0700X Physician Assistant, Medical | |
| 364SA2100X Clinical Nurse Specialist, Acute Care | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| 364SH1100X Clinical Nurse Specialist, Holistic | |
| 364SN0800X Clinical Nurse Specialist, Neuroscience | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |