| NPI | 1194479147 |
|---|---|
| Doing Business As | MIND, BODY, SOULMATES |
| Entity Type | Organization |
| Authorized Contact | ISABLE MARIE SMITH Owner 970-371-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |