| NPI | 1710688122 |
|---|---|
| Former Legal Business Name | MIND EVOLUTION LLC |
| Entity Type | Organization |
| Authorized Contact | ARACELIS AVILE REDONDO Manager 702-673-7048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |