NPI | 1992578611 |
---|---|
Doing Business As | PHYTOGENICS CLINIC |
Entity Type | Organization |
Authorized Contact | JOELLE M MOLIERE CEO/Functional Medicine Specialist 954-612-5831 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
133N00000X Nutritionist | |
261Q00000X Clinic/Center | |
Enumeration Date | 2023-11-03 |
Last Update Date | 2023-11-03 |