| NPI | 1831841626 |
|---|---|
| Doing Business As | MIND HAVEN |
| Entity Type | Organization |
| Authorized Contact | MARLISHA LORRAINE THOMAS Owner/ Provider 662-440-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2022-02-15 |