NPI | 1093473241 |
---|---|
Former Legal Business Name | ELEMENTAL TELEHEALTH LTD. |
Entity Type | Organization |
Authorized Contact | MARTINS A ADEOYE Md CEO 708-364-0580 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-12-06 |
Last Update Date | 2024-10-22 |