| NPI | 1386029445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS WILLIAM FEURINO Sole Member 313-605-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |