| NPI | 1417753260 |
|---|---|
| Doing Business As | MINDORA MENTAL HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JAMAL-EDDIN H DAHER Owner 414-687-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-04-29 |