| NPI | 1720892862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. JUSTIN COFFEY President/Director 734-545-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |