| NPI | 1508231416 |
|---|---|
| Doing Business As | ELITE DNA THERAPY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DOSORETZ CEO 239-223-2751 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 104100000X Social Worker |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363L00000X Nurse Practitioner | |
| 101Y00000X Counselor | |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2023-06-02 |