| NPI | 1891230868 |
|---|---|
| Former Legal Business Name | MEMORY CONCUSSION CENTER |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MUZAMMIL AHMED Director 866-277-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: CA A124696) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: CA A124696) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |