| NPI | 1770344376 |
|---|---|
| Doing Business As | CENTRAL MIND AND MEDICAL CENTER |
| Former Legal Business Name | TEMPLE IV DRIP HEALTH AND WELLNESS CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | MARILYN OMOMEN CEO 281-907-3661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |