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Organization
MIND OVER MATTER LLC
Active
Organization
MIND OVER MATTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RUSSELL ADAMS CRNP (CRNP/ OWNER)
(334) 456-0300
Entity
Organization
Contact information
Practice address
131 E COVINGTON AVE, OPP, AL 36467-2122
(334) 456-0300
(716) 265-3348
Mailing address
29289 BEULAH CHURCH RD, OPP, AL 36467-4307
(334) 456-0300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
08/23/2021
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