| NPI | 1194565648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L SEYMORE Owner 866-526-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-08-17 |