| NPI | 1164214128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEVONN JOHNSON Owner 385-722-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2026-01-20 |