Type 2 organization · NPI 1497304430
BRAVE WINGS THERAPY, PC
261QM1300X · FAIRFIELD, NJ
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 261QM1300X | 261QM1300X | Primary |
| 225XP0200X | 225XP0200X | Additional |
| 235Z00000X | 235Z00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s