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 |