| NPI | 1669704326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN KUSHNEREIT Psychologist 248-765-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 071.007792) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |