| NPI | 1063222099 |
|---|---|
| Doing Business As | BRAIN BALANCE CLINIC PLLC |
| Entity Type | Organization |
| Authorized Contact | MARQUETTE LEACH Owner 347-610-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-01-11 |