NPI | 1184799736 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA MONDROW Controller 248-682-0741 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI NJ042763) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2006-11-21 |
Last Update Date | 2018-06-21 |