| NPI | 1063203776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLY GONZALEZ Program Director 939-290-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |