NPI | 1972313807 |
---|---|
Doing Business As | ELITE SPORT MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | RHIANA ROQUE Owner And CEO 626-314-1901 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |