| NPI | 1821796400 |
|---|---|
| Former Legal Business Name | BRAIN EMPOWERMENT LLC |
| Entity Type | Organization |
| Authorized Contact | LISIANE GONCALVES FIDALGO Licensed Mental Health Counselor 617-953-8077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |