| NPI | 1710621594 |
|---|---|
| Doing Business As | MIND OVER MATTER BOSTON |
| Entity Type | Organization |
| Authorized Contact | DALE BUCKMAN Principal 857-222-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-06-20 |