| NPI | 1255967063 |
|---|---|
| Doing Business As | HEALTHY MIND & BRAIN CENTER |
| Former Legal Business Name | BRAIN CORE |
| Entity Type | Organization |
| Authorized Contact | REGINA J PEACOCK CEO 909-831-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZN0500X Pathology, Neuropathology |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2022-02-16 |