| NPI | 1356962799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMEDE EDOKPOLO Owner/Medical Director 313-506-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2022-04-19 |