| NPI | 1316246796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HARGRAVE President 386-846-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |