| NPI | 1245959337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HENDRIKS Physician 248-662-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |