| NPI | 1538972781 | 
|---|---|
| Doing Business As | LUCID FLAME BODY & MIND | 
| Entity Type | Organization | 
| Authorized Contact | ALEXI RADFORD Owner 419-944-1847 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2025-01-30 | 
| Last Update Date | 2025-01-30 |