| NPI | 1548738990 |
|---|---|
| Former Legal Business Name | COGNISIVE CLINC: THE CENTER FOR BRAIN HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANNIE MAE SPENCER Owner 702-684-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2018-11-15 |