| NPI | 1770368367 |
|---|---|
| Former Legal Business Name | HEALING MINDS COMMUNITY SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | BERYL ROBERTS PLUM CEO 757-560-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |