| NPI | 1154160604 |
|---|---|
| Doing Business As | STATE OF MIND |
| Entity Type | Organization |
| Authorized Contact | JAMES KENDALL EAKIN Owner/Practitioner 509-969-3908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |