| NPI | 1962083667 |
|---|---|
| Doing Business As | MIND RENEURAL |
| Entity Type | Organization |
| Authorized Contact | HILARY BRIDGES Assistant Executive Director 719-667-7063 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |