| NPI | 1902145659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSSELL Executive Director 248-277-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301079196) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |