| NPI | 1346705035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE B KRIVE Owner 517-282-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-03-02 |