NPI | 1164591954 |
---|---|
Doing Business As | MEMORY AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | LOUISA PONTIROLI-KELLY Authorized Official 561-297-2897 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2006-11-07 |
Last Update Date | 2023-04-15 |