| NPI | 1275060386 |
|---|---|
| Doing Business As | MIND RENEWAL BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | CARLOS VILLAFAN Owner 719-465-2582 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5586) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-02-26 |