| NPI | 1114624277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI ENG CEO 904-303-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |