| NPI | 1043030893 |
|---|---|
| Doing Business As | BROKENSHELLS WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JAZMINE SMITH Owner 404-428-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |