NPI | 1093587370 |
---|---|
Doing Business As | 802 WELL-BEING LLC |
Entity Type | Organization |
Authorized Contact | ETHAN WILLIAM GISLON Counselor 802-825-4543 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2023-10-30 |