NPI | 1003330408 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L KANE CEO 410-808-4667 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004396) |
Enumeration Date | 2017-07-28 |
Last Update Date | 2017-07-28 |