| NPI | 1598567455 |
|---|---|
| Doing Business As | LEGACY MINDS AND COGNITIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JANNA FAGAN RN 682-405-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-04-03 |