| NPI | 1780421180 |
|---|---|
| Doing Business As | MINDCARE |
| Doing Business As | WOW WEIGHT LOSS |
| Doing Business As | IMAT: INDIVIDUALIZED MEDICATION-ASSISTED TREATMENT |
| Entity Type | Organization |
| Authorized Contact | TED MORRIS Nurse Practitioner 888-341-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |