NPI | 1295299170 |
---|---|
Doing Business As | MIND REJUVENATION THERAPY |
Entity Type | Organization |
Authorized Contact | JACKLYN KROL Psychotherapist/Owner 347-620-3477 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-01-25 |
Last Update Date | 2019-01-25 |