| NPI | 1376661991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMDOUH ABDULRAZZAK Medical Director 313-945-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301063026) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-04-08 |