| NPI | 1326726605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN KURT LIEGMANN Managing Member 810-428-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-12-06 |