| NPI | 1790476976 |
|---|---|
| Former Legal Business Name | MINDFUL THERAPY |
| Entity Type | Organization |
| Authorized Contact | THERESA SALONIS Owner 774-230-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |