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1871927483
BRAIN RESTORATION WELLNESS CENTER, LLC
MANDEVILLE, LA
NPI
1871927483
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Entity Type
Organization
Authorized Contact
MARK DUREL
Director
985-674-6650
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
BRAIN RESTORATION WELLNESS CENTER, LLC
22532 HIGHWAY 1088
MANDEVILLE, LA 70448-8450
Phone number: 985-674-6650
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Mailing Address
BRAIN RESTORATION WELLNESS CENTER, LLC
22532 HIGHWAY 1088
MANDEVILLE, LA 70448-8450
Phone number: 985-674-6650
Copy
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