NPI | 1578775581 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLENE VERONICA KEVONIAN Doctor Of Psychiatry 248-626-8508 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-07-17 |