| NPI | 1407638687 |
|---|---|
| Doing Business As | MIND-4-CONCEPTS WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE F GILLIAM COO 410-801-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-11-12 |