| NPI | 1033342613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SEIKI COSSABOON Neuropsychologist 307-250-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |