| NPI | 1295208593 |
|---|---|
| Former Legal Business Name | MINDVIEW BEHAVIORAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | WANNO COOMBER BENJAMIN CEO And Owner 703-332-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |