A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Religious Nonmedical Practitioner |
374K00000X |
| NPI Number | 1184490872 |
| LBN Legal business name | BLACK WILLOW HOLISTIC CENTER LLC |
| Authorized official | CANDICE ULLERY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/04/2023 |
| Last updated | 12/12/2023 - About 2 years ago |
| Identifiers | n/a |
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BLACK WILLOW HOLISTIC CENTER LLC
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