| NPI | 1508554726 |
|---|---|
| Doing Business As | ELEVATED THERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | VANESSA NICOLE RUSSO Owner 732-655-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |