| NPI | 1649606724 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DONNA DARST Office Manager 734-425-5320 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 047972) | 
| Enumeration Date | 2013-09-19 | 
| Last Update Date | 2014-04-29 |