| NPI | 1386809366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H OUAOU President 239-514-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY6868) |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2008-07-19 |