| NPI | 1588345003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BROOKS Administrative Director 346-373-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-31 |