| 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 |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-08-14 |