| NPI | 1861175945 |
|---|---|
| Former Legal Business Name | MIND BODY SOUL |
| Entity Type | Organization |
| Authorized Contact | JAMILA BOWMAN Owner 704-437-8672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-04-30 |