| NPI | 1508614124 |
|---|---|
| Doing Business As | ROOT IMPACT WELLNESS |
| Entity Type | Organization |
| Authorized Contact | VERRICK YOHAUN TAYLOR Senior Officer 205-787-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |