| NPI | 1831887793 |
|---|---|
| Doing Business As | LIFT TEEN & PARENT WELLNESS CENTERS |
| Entity Type | Organization |
| Authorized Contact | MARY ANNE DOBSON CEO 203-526-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |