| NPI | 1497587257 |
|---|---|
| Doing Business As | BRAINTIQUE |
| Entity Type | Organization |
| Authorized Contact | LAYNE DENISE STAMBAUGH Owner 309-648-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |