NPI | 1407505035 |
---|---|
Doing Business As | HEALTHY MINDS FOR HEALTHY LIVES |
Entity Type | Organization |
Authorized Contact | MERRILL LEE WOOD Owner 940-217-6720 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-03-21 |
Last Update Date | 2023-06-16 |