Mind Body Connection, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Skowhegan, ME. Organization (NPI-2).
NPI number1861237752
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1861237752
- Entity type
- Organization (NPI-2)
- Legal business name
- Mind Body Connection, LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2024
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
48 Court StSkowhegan, ME 04976-1864
Phone 207-612-1129
Mailing address
48 Court StSkowhegan, ME 04976-1864
Phone 207-612-1129
Authorized official
Kimberly A Leo
Owner
2076121129
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