| NPI | 1326246612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAZAL M KHAN Owner 517-349-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301087992) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2007-12-04 |