Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Community |
364SP0812X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1972256378 |
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| LBN Legal business name | OPEN MINDS MENTAL HEALTH SERVICES | ||||
| Authorized official | SHELLEY CHAMBERLAIN - (NURSE PRACTITIONER/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/27/2022 | ||||
| Last updated | 04/17/2024 - About 2 years ago | ||||
| Identifiers |
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