| NPI | 1154016715 |
|---|---|
| Doing Business As | ELEVATED WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSHUA LANGLEY Executive Director 703-229-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-08-14 |