| NPI | 1124904727 |
|---|---|
| Doing Business As | KAPTIVATIVE MINDS |
| Entity Type | Organization |
| Authorized Contact | SHERRY RITA JOHNSON Owner/Operator 757-644-9847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2026-05-11 |