| NPI | 1144317116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE JOSEPH Administrator 248-703-1897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2019-05-28 |