| Brain Restoration Wellness Center, Llc | |
|
22532 Highway 1088 Mandeville LA 70448-8450 | |
| (985) 674-6650 | |
| (985) 674-4486 |
| Full Name | Brain Restoration Wellness Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 22532 Highway 1088, Mandeville, Louisiana |
| Authorized Official Name and Position | Mark Durel (DIRECTOR) |
| Authorized Official Contact | 9856746650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Restoration Wellness Center, Llc 22532 Highway 1088 Mandeville LA 70448-8450 Ph: (985) 674-6650 | Brain Restoration Wellness Center, Llc 22532 Highway 1088 Mandeville LA 70448-8450 Ph: (985) 674-6650 |
| NPI Number | 1871927483 |
|---|---|
| Provider Enumeration Date | 08/30/2013 |
| Last Update Date | 08/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871927483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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