| NPI | 1578288718 |
|---|---|
| Doing Business As | MINDCARE NEUROFEEDBACK MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LUIS NAVAZO President 760-591-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-12 |