| NPI | 1639991151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LYNN POLANCO President 239-470-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |