| 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 |