Organization
CENTERFORBRAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN COHEN (OFFICE ADMINISTRATOR)
(561) 744-7616
Entity
Organization
Contact information
Practice address
550 HERITAGE DR, SUITE 140, JUPITER, FL 33458-3029
(561) 744-7616
(866) 624-6184
Mailing address
550 HERITAGE DR STE 140, JUPITER, FL 33458-3033
(561) 744-7616
(866) 624-6184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
07/03/2019
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