Organization
MINDFUL LIVING CENTER NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK TOLONEN (VP)
(323) 580-9477
Entity
Organization
Contact information
Practice address
3670 S BENZING RD, ORCHARD PARK, NY 14127-1737
(949) 409-5660
Mailing address
900 PACIFIC COAST HWY APT 105, HUNTINGTON BEACH, CA 92648-4859
(323) 580-9477
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/14/2021
Last updated
01/06/2022
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