Organization
MIND MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHAPMAN MD (CEO)
(248) 686-4469
Entity
Organization
Contact information
Practice address
25882 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-1292
(248) 426-7299
Mailing address
PO BOX 8171, BLOOMFIELD HILLS, MI 48302-8171
(248) 686-4469
(248) 927-5191
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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