| NPI | 1811598626 |
|---|---|
| Doing Business As | VIBRANTLY LIVE |
| Entity Type | Organization |
| Authorized Contact | ALYSSA MARIE JOHNSON Owner 317-520-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |