| NPI | 1336152933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KOELZER Managing Partner 734-634-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-01-24 |