| NPI | 1902536410 |
|---|---|
| Former Legal Business Name | MINDWELL PSYCHOLOGICAL ASSESSMENT, LLP |
| Entity Type | Organization |
| Authorized Contact | AARON RAKOW Executive Director 607-260-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |