| NPI | 1679651269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 830190) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-03-15 |