| Organization Name: | BRAINPOWER NEURODEVELOPMENTAL CENTER, LLC |
| NPI Number: | 1023462413 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE E MORTON (OWNER) |
| Mailing Address: | 333 State St Newburgh |
| State: | IN US |
| Postal Code: | 476301231 |
| Phone Number: | 8127738321 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2016 |
| NPI Last Update Date: | 04/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |