| NPI | 1518795590 |
|---|---|
| Former Legal Business Name | BEAUTIFUL MINDS LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN S SMITH Member 240-644-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-12-03 |