Organization
BRAIN REPAIR THERAPY SERVICES LICENSED CLINICAL SOCIAL WORKER INC
Active
Other names
Brain Repair
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS PLEIMAN LCSW (PRESIDENT)
(949) 415-4204
Entity
Organization
Contact information
Practice address
23161 MILL CREEK DR STE 315, LAGUNA HILLS, CA 92653-7907
(949) 415-4204
Mailing address
PO BOX 1446, LAKE FOREST, CA 92609-1446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
03/20/2024
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