| 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 |