Organization
MY GOOD BRAIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANESSA MAYO PHD (CEO, FOUNDER)
(818) 395-6551
Entity
Organization
Contact information
Practice address
3893 FIANO CMN, FREMONT, CA 94555-2280
(510) 497-0478
Mailing address
35640 FREMONT BLVD # 123, FREMONT, CA 94536-3420
(510) 497-0478
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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