| NPI | 1659511947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ELLEN MACMILLAN Owner 248-336-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301404641) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |