| 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 |