NPI | 1265257521 |
---|---|
Other Name | ENLIVEN PSYCH HEALTH |
Entity Type | Organization |
Authorized Contact | KENDRA RUTH HENRY Owner 507-358-8678 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-12-10 |