| NPI | 1154661007 |
|---|---|
| Doing Business As | NORTHLAKE NEUROLOGICAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | GREGG J MORREAU CEO 985-801-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |