| NPI | 1376053108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN OXLEY Medical Director 248-291-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-10-30 |