| NPI | 1609845056 |
|---|---|
| Former Legal Business Name | MIND & BODY POWER, INC. |
| Entity Type | Organization |
| Authorized Contact | BABU S. MOSES Propriter 516-623-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 009705) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-04-18 |