| NPI | 1811108681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J CAO Owner 248-223-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301076405) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-04-20 |