| NPI | 1093328791 |
|---|---|
| Doing Business As | NEUROSPORT |
| Entity Type | Organization |
| Authorized Contact | FRED WILLIS President & CEO 508-212-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |