Organization
BRAIN REPAIR THERAPY SERVICES LICENSED CLINICAL SOCIAL WORKER INC
Active
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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