| NPI | 1386970341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PATRICK MCCRANEY Managing Partner 505-750-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2005-0833) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NM 1133) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2013-05-31 |