NPI | 1053495671 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY T MORSON Owner 734-459-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI TM067838) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |