| NPI | 1124083928 |
|---|---|
| Other Name | MIND-BODY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | RENATO SUNTAY CEO 814-333-5031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA 02218) |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered (Licence: PA DN000047) | |
| 133V00000X Dietitian, Registered (Licence: PA DN001984) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-08-15 |