NPI | 1043884976 |
---|---|
Doing Business As | MINDFULLY WE |
Entity Type | Organization |
Authorized Contact | QUENETTA M JOHNSON Chief Executive Officer 252-915-0344 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-05-15 |
Last Update Date | 2021-05-15 |