| NPI | 1225890262 |
|---|---|
| Former Legal Business Name | MINDWELL THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | ARIEL SHASHANA ERVIN CEO/Founder 443-682-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-29 |