| NPI | 1013805860 |
|---|---|
| Other Name | MIND GYM NEUROFEEDBACK |
| Entity Type | Organization |
| Authorized Contact | LEROY MATTICKS Owner 720-513-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-11-15 |