| NPI | 1538390133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS O LONGS President 248-987-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2015-01-22 |