| NPI | 1124059951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD J ROSEN Physician 734-246-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4301033083) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-02-01 |