| NPI | 1316541790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROOKS Owner 701-415-6745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |