| NPI | 1316363757 |
|---|---|
| Doing Business As | ELITE DNA THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DOSORETZ President 239-223-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2020-09-30 |