| NPI | 1275857955 |
|---|---|
| Former Legal Business Name | BRAIN WELLNESS AND BIOFEEDBACK CENTER OF WASHINGTON, LLC |
| Entity Type | Organization |
| Authorized Contact | DIANE LYNN BADGER Office Manager 301-215-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2015-02-06 |