| 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 |