| Renewal Of The Mind | |
|
10560 Main St Fairfax VA 22030-7182 | |
| (972) 880-3510 | |
| Not Available |
| Full Name | Renewal Of The Mind |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10560 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Naglaa Moussa (FOUNDER) |
| Authorized Official Contact | 9728803510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Of The Mind 13199 Guildtown Pl Bristow VA 20136-5613 Ph: (972) 880-3510 | Renewal Of The Mind 10560 Main St Fairfax VA 22030-7182 Ph: (972) 880-3510 |
| NPI Number | 1548835705 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548835705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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