| NPI | 1093597619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVONNI HENDERSON Owner 510-256-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 172M00000X Mechanotherapist | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-12-15 |