| NPI | 1720615479 |
|---|---|
| Former Legal Business Name | RACINEE HOLISTIC WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | THALIA L MICAH Owner 832-382-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 376J00000X Homemaker |
| 225700000X Massage Therapist | |
| 374J00000X Doula | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2022-01-03 |