| NPI | 1821859521 |
|---|---|
| Doing Business As | ELITE DNA THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NOEMI DOSORETZ CEO 239-223-2751 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-25 |