| NPI | 1346989993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKAYLA BLACKMER Owner 765-748-8328 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |