NPI | 1558994277 |
---|---|
Doing Business As | PRANA MIND CENTER |
Entity Type | Organization |
Authorized Contact | PAUL JACKSON Clinical Director 877-459-6463 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-10-27 |