| NPI | 1295410694 | 
|---|---|
| Doing Business As | TAIGUEY WELLNESS | 
| Entity Type | Organization | 
| Authorized Contact | JUSTICE GOMES Provider 401-753-8543  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 104100000X Social Worker | 
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-06-21 | 
| Last Update Date | 2023-12-04 |