NPI | 1992261481 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN KACHAN Manager/Authorized Offical 248-250-3393 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2019-02-20 |
Last Update Date | 2022-09-16 |