| NPI | 1033323449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE J RUZA Owner 248-626-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: MI TR009905) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI TR009905) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |