| NPI | 1437826534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH RUNGTA Managing Member 248-252-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-01-15 |