| NPI | 1508106170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAAD JAJO President 313-562-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301082590) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |