NPI | 1942621065 |
---|---|
Doing Business As | MOSAIC WELLNESS |
Entity Type | Organization |
Authorized Contact | STEPHANIE KNIGHT CLARKE Owner 304-546-4640 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2020) |
Enumeration Date | 2013-12-16 |
Last Update Date | 2024-10-16 |