| NPI | 1396751087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ISRAEL President 248-851-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 020499) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-07-29 |