NPI | 1356410237 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 313-874-4806 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 830190) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2024-08-23 |