| NPI | 1013774082 |
|---|---|
| Former Legal Business Name | LEVELED UP REENTRY |
| Entity Type | Organization |
| Authorized Contact | LATANISHA BOOKER CEO 253-878-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |