| NPI | 1780399089 |
|---|---|
| Doing Business As | MIND AND PAIN SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | KENNETH MMAC PATON Owner/Provider 725-203-2810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-10-28 |