Organization
BRAVA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA B. BRADLEY PSY.D. (PRESIDENT)
(561) 676-2989
Entity
Organization
Contact information
Practice address
7606 16TH ST NW, WASHINGTON, DC 20012-1406
(561) 676-2989
Mailing address
7606 16TH ST NW, WASHINGTON, DC 20012-1406
(561) 676-2989
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PRC13943
DC
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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