NPI | 1598461964 |
---|---|
Doing Business As | MIND GYM NEUROFEEDBACK |
Entity Type | Organization |
Authorized Contact | LEROY MATTICKS CEO 720-513-5092 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-02-06 |
Last Update Date | 2023-02-06 |