| NPI | 1093908782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GAROFANO President 828-713-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 04034) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NC 2772) |
| 103T00000X Psychologist (Licence: MD 04034) | |
| 103T00000X Psychologist (Licence: NC 2772) | |
| 103TH0004X Psychologist, Health (Licence: MD 04034) | |
| 103TH0004X Psychologist, Health (Licence: NC 2772) | |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2008-02-19 |