| NPI | 1558432203 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GARY G GURDEN President 855-231-9662 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI GG033978) | 
| Enumeration Date | 2006-11-13 | 
| Last Update Date | 2012-07-27 |