| NPI | 1316119498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIN KEITH LEPARD Manager 248-543-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2009-04-01 |