NPI | 1265761092 |
---|---|
Other Name | CSP DIAGNOSTIC ASSESSMENT |
Entity Type | Organization |
Authorized Contact | MARTIN P. JUSTAFORT Operations Manager 910-799-4505 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC 8300728G) |
Enumeration Date | 2009-12-07 |
Last Update Date | 2009-12-07 |