| NPI | 1477104487 |
|---|---|
| Doing Business As | MANTALITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | SANDY HARDMAN Credentialing Manager 314-254-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |