| NPI | 1356556575 |
|---|---|
| Doing Business As | WAYNE STATE UNIVERSITY PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | JEFFERY P KOHLITZ Chief Financial Officer 248-581-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-10-26 |