NPI | 1023288669 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS SELZNICK Owner 734-402-0254 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2008-03-11 |
Last Update Date | 2008-03-11 |