NPI | 1326194168 |
---|---|
Other Name | MPBA |
Entity Type | Organization |
Authorized Contact | KISHORE KONDAPANENI CEO 989-922-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2007-01-26 |
Last Update Date | 2012-03-22 |