NPI | 1649752767 |
---|---|
Doing Business As | AGELESS MIND NY |
Entity Type | Organization |
Authorized Contact | IZABELLE REYHANIAN HAKIM Owner 516-726-0301 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 078204-1) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2019-01-10 |