| NPI | 1306143235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL DUMLAO Owner 248-593-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MI md047459) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |