Brain Food Clinic | |
680 S Cache St Ste 10010400 Jackson WY 83001-8694 | |
(212) 518-6718 | |
Not Available |
Full Name | Brain Food Clinic |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 680 S Cache St Ste 10010400, Jackson, Wyoming |
Authorized Official Name and Position | Christopher A Ramsey (PRESIDENT) |
Authorized Official Contact | 2125186718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brain Food Clinic P.o. Box 10400 Jackson WY 83002 Ph: () - | Brain Food Clinic 680 S Cache St Ste 10010400 Jackson WY 83001-8694 Ph: (212) 518-6718 |
NPI Number | 1629742408 |
---|---|
Provider Enumeration Date | 08/04/2021 |
Last Update Date | 08/04/2021 |
Certification Date | 08/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629742408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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