| NPI | 1215706114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THURLYN BRYAN WILSON Manager 888-792-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |