| NPI | 1336188101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M MICHELE HEIDENREICH President 248-363-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 103TC0700X Psychologist, Clinical | |
| 364SG0600X Clinical Nurse Specialist, Gerontology | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |