| NPI | 1013760073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L SEYMORE Owner / Member 866-526-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-12 |