| NPI | 1568876910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA PARKHURST Residency Coordinator 517-432-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301105041) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |