NPI | 1336993971 |
---|---|
Other Name | CULTIVATE MENTAL HEALTH & WELLNESS, LLC |
Entity Type | Organization |
Authorized Contact | VIRGINIA BURFORD HATCH-PIGOTT Owner 808-854-7028 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |