| NPI | 1053670497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FLATEN SHAYA Owner/Med Director 586-495-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301082966) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |