| NPI | 1356099808 |
|---|---|
| Former Legal Business Name | CHANGING MY WAYS INCORPORATED |
| Entity Type | Organization |
| Authorized Contact | NIKITA C WYATT Manager 714-256-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-31 |