| NPI | 1396319513 |
|---|---|
| Doing Business As | ELYSIAN WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MATTHEW BERNIARD Medical Director 757-949-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |