| NPI | 1649045253 |
|---|---|
| Doing Business As | ELEVATED PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | IMARA BLUME Provider 689-290-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2024-06-02 |