| NPI | 1114300183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MARCOTTE VP/CFO 248-338-5691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-05-01 |