| NPI | 1508636036 |
|---|---|
| Doing Business As | ROOTS AND BRANCHES WELLNESS COLLABORATIVE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY WAITHE Owner 386-972-2499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |