NPI | 1962294462 |
---|---|
Doing Business As | BLUE MIND CARE STERLING HEIGHTS MICHIGAN |
Entity Type | Organization |
Authorized Contact | RAHEEL SIDDIQUI Administrator 856-493-2980 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2025-05-20 |
Last Update Date | 2025-06-19 |