| NPI | 1619422649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E MELLOS Owner 248-949-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301050595) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2024-04-24 |