| NPI | 1003620790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTELLA MEDOZILE Administrator 516-699-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |