NPI | 1982461380 |
---|---|
Doing Business As | ONE WELL CLINIC |
Other Name | GOD'S COURT |
Other Name | BLACKAGE OPTIMAL WELLNESS |
Doing Business As | BLACKAGE OPTIMAL WELLNESS |
Former Legal Business Name | COURTENEY GENIECE HOUSTON |
Doing Business As | ON POINT PHOTOGRAPHY |
Other Name | ONE WELL CLINIC |
Former Legal Business Name | COURTENEY GENIECE NELSON |
Entity Type | Organization |
Authorized Contact | COURTENEY GENIECE NELSON Owner 916-779-9212 |
Organization Subpart ? | No |
Primary Taxonomy | 405300000X Prevention Professional |
Additional Taxonomies | 251E00000X Home Health |
251S00000X | |
253Z00000X In Home Supportive Care | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QP0905X Clinic/Center, Public Health, State or Local | |
374K00000X | |
385H00000X Respite Care | |
Enumeration Date | 2024-03-01 |
Last Update Date | 2024-03-24 |