| NPI | 1235839002 |
|---|---|
| Doing Business As | ALTITUDE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DUSTIN STEPHENS Owner/President 424-339-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-14 |