| NPI | 1073541769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARESH S. MEHTA Medical Director / Owner 586-773-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 018073) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 018073) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 018073) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 018073) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-08-23 |