NPI | 1558925453 |
---|---|
Doing Business As | BRAIN WAVES |
Entity Type | Organization |
Authorized Contact | JEREMY ROGERS Owner And Therapist 719-432-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-04-25 |
Last Update Date | 2020-08-07 |