| 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 |