| NPI | 1730505173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY BRYANT Owner/Health And Wellness Coach 919-883-8563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |