NPI | 1467142489 |
---|---|
Doing Business As | SAGE MENTAL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ALENA PORTER Owner/Clinical Director 762-212-3404 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-05-12 |
Last Update Date | 2024-11-21 |