| NPI | 1902615545 |
|---|---|
| Doing Business As | MINDIVITY |
| Entity Type | Organization |
| Authorized Contact | SARAH TISSER Ap RN 224-306-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-04-24 |