| NPI | 1619932670 |
|---|---|
| Other Name | PH PSYCHIATRY MD/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentailing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-06-28 |