| NPI | 1811738768 |
|---|---|
| Doing Business As | FITMIND THERAPEUTICS ADVANCED BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | VICTORIA KOZEL CEO 904-679-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-09-10 |