NPI | 1083320725 |
---|---|
Entity Type | Organization |
Authorized Contact | RASHAD QUINT'E RICHARDSON Director 336-740-1668 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
103TE1100X Psychologist, Exercise & Sports | |
171400000X Health & Wellness Coach | |
174H00000X Health Educator | |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-01-27 |