| NPI | 1427853662 |
|---|---|
| Doing Business As | BLUE SKY MIND THERAPY AND NUTRITION |
| Entity Type | Organization |
| Authorized Contact | MEGAN GOUGEON Authorized Agent 313-473-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-09-02 |