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Organization
THE BALANCED BRAIN, INC.
Active
Organization
THE BALANCED BRAIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MEKRUT (PRESIDENT)
(818) 605-7669
Entity
Organization
Contact information
Practice address
11159 LA MAIDA ST, NORTH HOLLYWOOD, CA 91601-4541
(818) 605-7669
Mailing address
10413 BLOOMFIELD ST, TOLUCA LAKE, CA 91602-2810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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