| NPI | 1073388047 |
|---|---|
| Former Legal Business Name | SANDSTONE WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE K GRAY Owner 505-720-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-05-28 |