| NPI | 1447811948 |
|---|---|
| Doing Business As | ELEVATED MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRETT M. JUDD Owner 208-254-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-02-07 |