| 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 |