| NPI | 1174087308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED LARKINS CEO 734-850-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-12-01 |