| NPI | 1316083629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY MARIE VIGOR President CEO 586-615-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: TN 41885) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 41885) |
| 2084N0600X (Licence: TN 41885) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-09-11 |