| NPI | 1275398109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER PHILIP DOYLE Nurse Practitioner 734-210-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2026-02-24 |