| NPI | 1073924585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA WILSON Chief Executive Officer 313-831-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301088119) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2015-04-29 |