| NPI | 1639753304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRINA ALPERT Billing And Credentialing 734-744-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |