| NPI | 1750147120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY HOLLAMAN Chief Excutive Officer 909-486-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2026-02-28 |