| NPI | 1093546376 |
|---|---|
| Doing Business As | SAGE MENTAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ALENA PORTER Owner 762-212-3404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-11-21 |