NPI | 1588296552 |
---|---|
Entity Type | Organization |
Authorized Contact | RELANDA PRICE Lead Enrollment COO Rdinator 517-884-2976 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 103T00000X Psychologist |
2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
Enumeration Date | 2020-02-07 |
Last Update Date | 2023-01-23 |