| NPI | 1982310405 |
|---|---|
| Former Legal Business Name | MINDSITE HEALTH |
| Entity Type | Organization |
| Authorized Contact | SUSANA LYNN NWOUS Medical Director 443-230-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |