NPI | 1902530553 |
---|---|
Doing Business As | MY CLEAR MIND CLINIC LLC |
Entity Type | Organization |
Authorized Contact | WHINNEY MATHEW PHILIP Provider 215-375-4766 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-07-11 |
Last Update Date | 2022-07-11 |