| NPI | 1477018372 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RUMA HOPKINS Member 248-303-0391 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2019-02-05 | 
| Last Update Date | 2019-02-05 |