| NPI | 1629579149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ARTHUR CLEMENTE Administrative Director 248-859-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-02-12 |