| NPI | 1134797970 |
|---|---|
| Doing Business As | FOUR ELEMENTS BEHAVIORAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | FANGYU QI Owner 917-435-7935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-07-25 |