| NPI | 1194411496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIRA SMITH Owner 404-200-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-06-13 |