| NPI | 1316256555 |
|---|---|
| Doing Business As | SENIOR HEALTH SOURCE |
| Entity Type | Organization |
| Authorized Contact | LEWIS EVANS Owner 877-747-5520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3909) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |