| NPI | 1275721458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN SWARTOUT Billing Manager 734-241-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301035528) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-05-22 |