| NPI | 1023448388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAJA CHISTY Owner 248-987-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: FL ME109705) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2018-09-20 |