| NPI | 1972660165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR TURK Owner 313-445-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35087170) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |