| NPI | 1982865648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANDERSON Owner 248-656-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MI 4301068843) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |