NPI | 1417580135 |
---|---|
Doing Business As | ELEVATE CHILDREN, LLC |
Entity Type | Organization |
Authorized Contact | SANDRA COOK-FONG Owner 308-234-2722 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |