| NPI | 1609219690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE LOURDES ANGELES President 313-595-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301074466) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |