| NPI | 1154039337 |
|---|---|
| Former Legal Business Name | MINDS UNITED 57 LLC. |
| Entity Type | Organization |
| Authorized Contact | JOSEPH OSCAR KIDD Director 419-490-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |