| NPI | 1457100836 |
|---|---|
| Other Name | RUST WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID RUST Owner 518-866-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |