Organization
MOSAIC HEALTH AND HEALING ARTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BAST MD (MEDICAL DIRECTOR)
(574) 537-2680
Entity
Organization
Contact information
Practice address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 537-2680
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 537-2680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/16/2016
Last updated
09/09/2019
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