| NPI | 1134449176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENS SANDAIRE CEO 313-574-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101011931) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2016-07-29 |