| NPI | 1770084063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY POWELL Billing Director Se 888-329-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |