| NPI | 1023797420 |
|---|---|
| Former Legal Business Name | ELITE MENTAL HEALTH AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | RAFIA NICOLA GROOMS Owner 856-956-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-11-19 |