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 |