NPI | 1730150616 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT RUSSELL LADD President 248-290-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301073196) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2009-09-25 |