| NPI | 1154972933 |
|---|---|
| Former Legal Business Name | SMART BRAIN AND HEALTH INC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY A JABOUR Chief Executive Officer 310-829-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |