| NPI | 1043360365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEDEAN A CHAMPINE Operations Manager 810-230-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 018044321) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |