| NPI | 1356167597 |
|---|---|
| Other Name | LASTING PURPOSE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAKURA A TELA Provider 240-642-8392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251300000X Local Education Agency (LEA) | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 305R00000X Preferred Provider Organization | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |