| NPI | 1083042105 |
|---|---|
| Doing Business As | RENEWED MIND PSYCHIATRY AND COUNSELING |
| Entity Type | Organization |
| Authorized Contact | WENDY LIANA VANDEMARK Owner 229-232-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2024-01-18 |