| NPI | 1316156698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE V KEVONIAN Doctor Of Psychiatry 248-539-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MI 051500) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-08-01 |