Organization
REJUVENATE MINDS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINYSE DAVIS NP (GENERAL PARTNER)
(765) 400-1800
Entity
Organization
Contact information
Practice address
3413 N BRIARWOOD LN, MUNCIE, IN 47304-5210
(765) 400-1800
Mailing address
3413 N BRIARWOOD LN, MUNCIE, IN 47304-5210
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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