NPI | 1760006373 |
---|---|
Doing Business As | ENVISION THERAPIES, LLC |
Entity Type | Organization |
Authorized Contact | BRANDY KENNERSON Sole Member 860-689-4222 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-05-31 |
Last Update Date | 2024-08-14 |