| NPI | 1063964484 |
|---|---|
| Doing Business As | ELITE DNA THERAPY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH N DOSORETZ CEO 239-236-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-08-10 |