| NPI | 1083620488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E. GUGEL Treasurer 248-656-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-09-09 |