| NPI | 1891932216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH E LAND Owner/Mind Spa LLC 918-591-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OK 4200) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OK 2641) |
| 164W00000X Licensed Practical Nurse (Licence: OK 63489) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2022-09-30 |