NPI | 1033323449 |
---|---|
Entity Type | Organization |
Authorized Contact | THEODORE J RUZA Owner 248-626-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI TR009905) |
Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MI TR009905) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2025-09-11 |