| My Good Brain Inc | |
|
3893 Fiano Cmn Fremont CA 94555-2280 | |
| (510) 497-0478 | |
| Not Available |
| Full Name | My Good Brain Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3893 Fiano Cmn, Fremont, California |
| Authorized Official Name and Position | Danessa Mayo (CEO, FOUNDER) |
| Authorized Official Contact | 8183956551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Good Brain Inc 35640 Fremont Blvd # 123 Fremont CA 94536-3420 Ph: (510) 497-0478 | My Good Brain Inc 3893 Fiano Cmn Fremont CA 94555-2280 Ph: (510) 497-0478 |
| NPI Number | 1437844842 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437844842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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