| NPI | 1164973467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD D BLACKWOOD President 928-777-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 0689) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-12-05 |