| NPI | 1306522024 |
|---|---|
| Other Name | SACRED SPACE WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | LAUREN FOREMAN Cnm, Owner 443-553-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |