NPI | 1013294628 |
---|---|
Doing Business As | NEUROCORE |
Entity Type | Organization |
Authorized Contact | TIMOTHY ROYER Provider/Authorized Official 800-600-4096 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301009353) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2017-02-21 |