| NPI | 1073197828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE F WALTON Director 918-820-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-12-01 |