| NPI | 1205203817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN RILEY President Of The Board 248-321-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 207X00000X Orthopaedic Surgery | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-08-16 |