NPI | 1184166100 |
---|---|
Doing Business As | ELITE DNA BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | ELIZABETH DOSORETZ CEO 239-236-8784 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2016-11-08 |
Last Update Date | 2023-06-02 |