| NPI | 1538007331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK IJLAL Practice Administrator 248-587-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |