Organization
MINDMINGLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE AMANDA KAYAL (MANAGER)
(734) 536-8434
Entity
Organization
Contact information
Practice address
675 E SQUARE LAKE RD, TROY, MI 48085-3169
(734) 536-8434
(947) 282-8950
Mailing address
26250 NORTHWESTERN HWY STE 200, SOUTHFIELD, MI 48076-3903
(734) 536-8434
(947) 282-8950
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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