| NPI | 1104695667 |
|---|---|
| Former Legal Business Name | CENTER FOR INTEGRATIVE NEUROSCIENCE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE TEKLINSKI Owner 231-622-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-07-04 |