| NPI | 1831065747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE D SIMS Executive Director 725-599-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |