NPI | 1194603019 |
---|---|
Entity Type | Organization |
Authorized Contact | KIEONDRA JACKSON Owner 704-451-4289 |
Organization Subpart ? | No |
Primary Taxonomy | 171400000X Health & Wellness Coach |
Additional Taxonomies | 172V00000X Community Health Worker |
174H00000X Health Educator | |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-08-27 |