NPI | 1578249496 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN KURT LIEGMANN Managing Member 810-428-1181 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-11-30 |