| NPI | 1407697279 |
|---|---|
| Former Legal Business Name | KPI WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LEIGH KOLODNY Owner 862-485-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |