| NPI | 1083474019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK OCONNELL Sole Member / Authorized Official 248-513-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-06-12 |