| The Mind Body Rejuvenation Center | |
|
18344 Clark St Ste 205 Tarzana CA 91356-3575 | |
| (818) 814-8344 | |
| Not Available |
| Full Name | The Mind Body Rejuvenation Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 18344 Clark St Ste 205, Tarzana, California |
| Authorized Official Name and Position | Channie Amato (OWNER) |
| Authorized Official Contact | 8188148344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Body Rejuvenation Center 3562 Alana Dr Sherman Oaks CA 91403-4707 Ph: () - | The Mind Body Rejuvenation Center 18344 Clark St Ste 205 Tarzana CA 91356-3575 Ph: (818) 814-8344 |
| NPI Number | 1124556915 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 05/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124556915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 94845 (California) | Primary |
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