| NPI | 1689942021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CONNOLLY President 248-642-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301033502) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |