| NPI | 1649299504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIROZA B. VAN HORN President 248-647-8412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301007958) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |