| NPI | 1417115809 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ABELARDO G CONTRERAS President 248-689-7100  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: 4301038584)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI AC038584)  | 
| Enumeration Date | 2008-06-02 | 
| Last Update Date | 2012-11-07 |