| NPI | 1174925630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDA H HAMID Owner/President 248-385-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301014942) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301014942) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-06-08 |