| NPI | 1184707796 |
|---|---|
| Former Legal Business Name | PRINCE WILLIAM NEUROSCIENCE CENTER |
| Entity Type | Organization |
| Authorized Contact | YVETTE C SANDOVAL Neuro President 703-369-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101059282) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-10-03 |