| NPI | 1891567863 |
|---|---|
| Former Legal Business Name | COLLECTIVE HEALTH SPA, PLLC |
| Entity Type | Organization |
| Authorized Contact | TOYA LYNN BEATTIE Manager 708-372-0508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-01-02 |