| NPI | 1578271151 |
|---|---|
| Other Name | PURE SUPPORT |
| Entity Type | Organization |
| Authorized Contact | MITCHELL SHERMAN Member, Manager, Founder 262-203-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker | |
| 174400000X Specialist | |
| 225400000X Rehabilitation Practitioner | |
| 225800000X Recreation Therapist | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374J00000X Doula | |
| 374K00000X Religious Nonmedical Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2022-12-16 |