| NPI | 1780388322 |
|---|---|
| Doing Business As | LIFEOLOGIE |
| Entity Type | Organization |
| Authorized Contact | LY TRAN Owner 856-355-8785 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |