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Organization
BRAIN RESTORATION WELLNESS CENTER, LLC
Active
Organization
BRAIN RESTORATION WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DUREL (DIRECTOR)
(985) 674-6650
Entity
Organization
Contact information
Practice address
22532 HIGHWAY 1088, MANDEVILLE, LA 70448-8450
(985) 674-6650
(985) 674-4486
Mailing address
22532 HIGHWAY 1088, MANDEVILLE, LA 70448-8450
(985) 674-6650
(985) 674-4486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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