| NPI | 1427563089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN LAGROU Medical Director 248-703-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 5101015978) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |