| NPI | 1629487657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALYNE J. FRY Psychiatrist 517-974-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301096971) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |