NPI | 1407130412 |
---|---|
Entity Type | Organization |
Authorized Contact | AURORA ANDREWS Owner 269-924-6940 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 034328) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2011-10-10 |