| NPI | 1447559448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN CRUM President 954-258-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY6720) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-08-15 |