| NPI | 1679914881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHUMALTI D BHAVSAR Owner 734-717-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI 4301068193) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-18 |