NPI | 1245713734 |
---|---|
Doing Business As | OSU-AJ MIND SPA, LLC. MUSKOGEE |
Entity Type | Organization |
Authorized Contact | ERIC JOHN POLAK Vice President For Admin/Finance 918-561-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-09-11 |