MIND RENEW,LLC

SURPRISE, AZ
NPI1033740196
Entity TypeOrganization
Authorized ContactSHOCKIE DERSNO
Owner
404-953-2501
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
MIND RENEW,LLC
12211 W BELL RD
SURPRISE, AZ 85378-9521
Phone number: 404-953-2501
Mailing Address
MIND RENEW,LLC
17569 W BANFF LN
SURPRISE, AZ 85388-7891
Phone number: 404-953-2501
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