NPI | 1326752809 |
---|---|
Former Legal Business Name | CLEAR MIND PSYCHIATRY AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ANTHONY VINCENT OLORUNSOLA Psychiatric Mental Health Np 623-806-6864 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-10 |
Last Update Date | 2023-01-10 |