NPI | 1487033288 |
---|---|
Doing Business As | BODY-BRAIN RESILIENCE CENTER... |
Entity Type | Organization |
Authorized Contact | MARTHA R. HERBERT Co Director 857-366-9399 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: MA 150498) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |