| NPI | 1093373763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE SUTTLE Medical Billing Manager 248-673-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |