| NPI | 1164138285 |
|---|---|
| Doing Business As | ACTIVE MINDZ, LLC. |
| Entity Type | Organization |
| Authorized Contact | BRIAN WILSON Clinical Therapist 410-967-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |