| NPI | 1225304363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSHMA GARG Manager 734-284-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301047448) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |