| 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 |