NPI | 1619533114 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDUL WANYE HAWKINS Physical Fitness Trainer 678-788-3646 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-05-10 |
Last Update Date | 2019-05-10 |