| NPI | 1194541292 |
|---|---|
| Doing Business As | STATE OF THE BODY LLC |
| Entity Type | Organization |
| Authorized Contact | EBONI MCCOY President 919-880-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2024-11-23 |