| NPI | 1619728615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR S WAQHAR Authorized Official 734-673-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |