| 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 | 2024-01-30 |