| NPI | 1750057477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL JOHNSON Chief Executive Director 914-885-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2024-08-28 |