Organization
BRAIN WORKS & MIND MATTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA F MOXHAM MSN, RN (OWNER)
(302) 324-5255
Entity
Organization
Contact information
Practice address
42 READS WAY, SUITE 135-136, NEW CASTLE, DE 19720-1649
(302) 324-5255
(302) 323-8105
Mailing address
42 READS WAY, SUITE 135-136, NEW CASTLE, DE 19720-1649
(302) 324-5255
(302) 323-8105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2011605393
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011605393
LICENSE NUMBER
DE
Enumeration date
01/13/2014
Last updated
01/13/2014
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