| NPI | 1164973418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment COO Rdinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2023-05-15 |