| NPI | 1033502224 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MOHAMAD K ALTABBA President/Director 586-582-0500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical | 
| 1041C0700X Social Worker, Clinical | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2015-03-11 | 
| Last Update Date | 2015-03-11 |