The Rejuvenation Space LLC
NPI #1386273571 in Irvington, New Jersey
Provider Information
- NPI Number
- 1386273571
- Entity Type
- Organization
- Organization Name
- The Rejuvenation Space LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 8, 2020
- Last Updated
- Apr 15, 2020
Practice Location
- Address
- 230 40TH ST
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-1149
- Phone
- (646) 633-5595
Authorized Official
- Name
- MRS. CHRYSTAL RENEE ALLEN, LICENSED COUNSELOR
- Title
- BUSINESS OWNER
- Phone
- (646) 633-5595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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