| NPI | 1114095510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J PHILLIPS Manager 248-851-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI GA405226) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |