| NPI | 1669094116 |
|---|---|
| Doing Business As | UNCONSCIOUS ART SPACE |
| Entity Type | Organization |
| Authorized Contact | TRACY MATTHEWS Owner/Provider 443-545-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2023-02-06 |