| NPI | 1114224292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH S RYBACK Owner 239-213-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL ME92563) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-07-20 |