| NPI | 1215675152 |
|---|---|
| Doing Business As | MINDRESTORATIVE BEHAVIORAL HEALTH TENNESSEE |
| Doing Business As | MINDRESTORATIVE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SIMONPETER ODION EMOKPAIRE Partner 409-333-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-11-29 |