| NPI | 1437515848 |
|---|---|
| Former Legal Business Name | MIND, BODY & SOUL OF NEW ORLEANS, INC. |
| Entity Type | Organization |
| Authorized Contact | ALBERT BRYAN Counselor 210-551-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 10715) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |