NPI | 1548442072 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRK GUANCO Office Manager 586-566-6880 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301031105) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2007-11-27 |