| NPI | 1750051504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SHARROCKS Owner 917-443-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| 225700000X Massage Therapist | |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| 261QS1000X Clinic/Center, Student Health | |
| 261QX0200X Clinic/Center, Oncology | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |