| NPI | 1588181804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAMI GABRIEL Owner 920-412-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 31988) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 31988) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |