| NPI | 1922476985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COLLINS Neuropsychologist 754-281-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY9314) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: FL PY9314) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-11-02 |