| NPI | 1962815530 |
|---|---|
| Doing Business As | OSU-AJ MIND SPA, LLC. |
| Entity Type | Organization |
| Authorized Contact | ERIC POLAK CFO Osu Physicians 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2016-03-02 |