| NPI | 1417710153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHILAH KIDD CEO 330-245-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |