| NPI | 1225471113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMAEL HAQUE Owner 734-637-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101015840) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |