| NPI | 1669451944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA KORROCH Executive Director 313-450-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-09-21 |