| NPI | 1881049674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN BRUSICH Psychologist/Owner 304-710-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1247) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |