| NPI | 1366792178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A CLEMENTE President 586-620-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-28 |