NEUROMOD SCIENCES NPI 1518359900

NPI Information

NPI: 1518359900
Provider Name: NEUROMOD SCIENCES

Doing Business As: BRAIN TREATMENT CENTER

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1601 DOVE ST
SUITE 299
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 851-3086
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NEUROMOD SCIENCES is an adult mental health clinic center in Newport Beach, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NEUROMOD SCIENCES NPI is 1518359900. The provider is registered as an organization entity type.
The provider Is Doing Business As Brain Treatment Center.

The provider's business location address is:

1601 DOVE ST
SUITE 299
NEWPORT BEACH, CA
ZIP 92660-433
Phone: (949) 851-3086

The provider's authorized official is Robert Stolfus .
The authorized official title is Director Of Operations and has the following contact phone number (949) 851-3086.

The enumeration date for this NPI number is 2/23/2015 and was last updated on 2/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

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This page was last updated on: 5/5/2024

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