Organization
NEUROMOD SCIENCES
Active
Other names
Brain Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STOLFUS (DIRECTOR OF OPERATIONS)
(949) 851-3086
Entity
Organization
Contact information
Practice address
1601 DOVE ST, SUITE 299, NEWPORT BEACH, CA 92660-2433
(949) 851-3086
Mailing address
1601 DOVE ST, SUITE 299, NEWPORT BEACH, CA 92660-2433
(949) 851-3086
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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