| NPI | 1093996985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L PROHASKA Director 205-344-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 816) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2010-05-05 |