| NPI | 1467988931 |
|---|---|
| Doing Business As | MIND, BODY, AND HEART WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MISTY ROBERTSON SMITH Owner 888-386-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 3390) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |