| 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 |