NPI | 1053190793 |
---|---|
Former Legal Business Name | BRAIN REINTEGRATION CENTER |
Entity Type | Organization |
Authorized Contact | AMBER FISHER Owner 970-730-3494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2023-09-22 |
Last Update Date | 2023-09-22 |