NPI | 1255071304 |
---|---|
Doing Business As | TIME 4 CHANGE WELLNESS SOLUTIONS |
Entity Type | Organization |
Authorized Contact | TROY CAMPBELL Provider 505-709-0608 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-03-29 |
Last Update Date | 2022-03-29 |