NPI | 1699373621 |
---|---|
Doing Business As | BRAIN AND BODY INTEGRATION |
Entity Type | Organization |
Authorized Contact | RYAN L COLE Authorized Official 719-357-6471 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2020-10-12 |
Last Update Date | 2020-11-03 |