| NPI | 1962228973 |
|---|---|
| Doing Business As | TREE OF LIFE TOTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JODI L CARSON Owner 518-416-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-01-07 |