NPI | 1376248252 |
---|---|
Doing Business As | ELEVATED WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | JOSHUA LANGLEY Executive Director 703-229-2117 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-31 |
Last Update Date | 2023-08-14 |