| NPI | 1275891194 |
|---|---|
| Doing Business As | THE NEURODEVELOPMENT RESOURCE CENTER |
| Entity Type | Organization |
| Authorized Contact | CINDY NILSSON Clinic Director 208-947-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ID PSY-230) |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2012-04-28 |