| NPI | 1104057074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY W. HALBERSTADT Provider 248-457-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301027799) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |