| NPI | 1205176674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROGER LIEPMAN Principal Owner 269-343-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301033951) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |