| NPI | 1568881910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ELLYCE WEINGARDEN Child And Adolescent Psychiatrist 248-646-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 5101018400) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |