| NPI | 1811331051 |
|---|---|
| Doing Business As | MIND SPA |
| Entity Type | Organization |
| Authorized Contact | SHERI JOLENE FLUELLEN CEO 307-509-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY 498) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2014-07-09 |