| NPI | 1386786531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D. THIELKING President 734-904-4518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301082207) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |