| NPI | 1275826125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN CRUM President 954-964-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY6720) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |