| NPI | 1588910707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL D. CROUCH-ROSS CEO/Owner 248-888-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301064192) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |