| NPI | 1265556161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER WHITE Owner 313-832-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI XW405376) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |