| NPI | 1619284320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE DEMCZUK Owner 248-688-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 4301058105) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-11-18 |