| NPI | 1457390254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P. LEE Chief Administrative Officer 313-577-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-12-12 |