| NPI | 1588372320 |
|---|---|
| Doing Business As | DAVID MANCUSO WELLNESS |
| Doing Business As | ORIGINS WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID MANCUSO Owner 347-949-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |