Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Community/Behavioral Health |
251S00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1790829646 |
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| LBN Legal business name | COGNITIVE INSTITUTE INCORPORATED | ||||||||||||||||
| Authorized official | MARLENA LAIRD - (CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 02/16/2007 | ||||||||||||||||
| Last updated | 07/03/2023 - About 3 years ago | ||||||||||||||||
| Identifiers |
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