NPI | 1114385432 |
---|---|
Doing Business As | DENALI WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | CHERYL ANNE FRYE Director 518-322-8058 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 021525) |
Enumeration Date | 2016-02-01 |
Last Update Date | 2016-02-01 |