| NPI | 1306059811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUSHO Se Mi Regional C.F.O. 734-398-0642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-01-13 |