| NPI | 1972322279 |
|---|---|
| Former Legal Business Name | QUINTESSENTIAL WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | DANIELLE MOORE Owner 973-668-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |