NPI | 1932978616 |
---|---|
Former Legal Business Name | NEUROFIT CONNECTIONS, LLC |
Entity Type | Organization |
Authorized Contact | TIMOTHY P. BECK Co Founder / Center Manager 833-632-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-12-22 |
Last Update Date | 2023-12-22 |