| NPI | 1376526616 |
|---|---|
| Other Name | ADMINISTRATIVE OFFICE |
| Entity Type | Organization |
| Authorized Contact | BRENT WIRTH CEO/President 248-475-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2022-08-26 |