| 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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