| 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 |