| NPI | 1639612245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301045320) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |