| NPI | 1720891518 |
|---|---|
| Doing Business As | MCR MIND AND BODY WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | RICCARDA MATHENGE CEO 469-207-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |