| NPI | 1972004992 |
|---|---|
| Former Legal Business Name | BRAZILIAN BEHAVIORAL CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | GABRIELA DEMELLO Owner 781-420-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2022-07-12 |