NPI | 1801407358 |
---|---|
Doing Business As | UNCAGED MINDS DETROIT |
Former Legal Business Name | LIFESTYLE PSYCHIATRY AND WELLNESS CENTER, PLLC |
Entity Type | Organization |
Authorized Contact | LINDSAY ROSE DYKEMA Founder 646-483-4469 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2020-08-10 |
Last Update Date | 2020-11-20 |