| NPI | 1083365639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON DOLL ANDREWS CEO 313-888-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |