Organization
HOLISTIC BRAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATREL DORTCH (OWNER)
(973) 932-0178
Entity
Organization
Contact information
Practice address
114 BROUGHTON AVE, BLOOMFIELD, NJ 07003-3989
(973) 932-0178
Mailing address
114 BROUGHTON AVE, BLOOMFIELD, NJ 07003-3989
(973) 932-0178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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