| NPI | 1922789973 |
|---|---|
| Former Legal Business Name | WISE MIND LLC |
| Entity Type | Organization |
| Authorized Contact | SHARON T DAVIS Owner 410-413-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |