| NPI | 1114090438 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GREGORY J DARDAS Owner 989-893-0444 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301065175) | 
| Enumeration Date | 2006-11-16 | 
| Last Update Date | 2020-08-22 |