| NPI | 1609641042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WANG Administrator 248-313-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-07-31 |