| NPI | 1740549120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENNIS BERKER President 269-217-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301006050) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |