| NPI | 1447822135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMZI HASSON Executive Director 313-283-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |