| NPI | 1063741270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN RONALD FUERST Director 248-363-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301008758) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |