| NPI | 1750839783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN YUNCK Manager 248-632-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301016394) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |