| NPI | 1205084118 |
|---|---|
| Doing Business As | MIND BODY PROGRAM LLC |
| Entity Type | Organization |
| Authorized Contact | LAURI CHRISTINE GEBHARD Psychologist 414-807-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: WI 2028) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2024-11-01 |