| NPI | 1487318671 |
|---|---|
| Doing Business As | 1DERFULL MINDS |
| Entity Type | Organization |
| Authorized Contact | ELLA MARIE MILES President/Program Manager 469-235-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-09-29 |