| NPI | 1992418446 |
|---|---|
| Doing Business As | ELEMENTAL SHIFT LLC |
| Entity Type | Organization |
| Authorized Contact | KIRSTEN JETTINGHOFF Owner 207-671-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |