| NPI | 1306043039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J T AILLS President 810-230-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI ja033988) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2009-07-16 |