NPI | 1366030934 |
---|---|
Doing Business As | WELL SPACE, LLC |
Entity Type | Organization |
Authorized Contact | KATIA JASMIN ROBINSON LUCERO Licensed Clinical Social Worker 239-677-6664 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-01-08 |
Last Update Date | 2021-01-08 |