| NPI | 1275239147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JACOB GREENBERG CEO 810-243-5085 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |