| NPI | 1730377292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY B MICHAELS Owner 248-540-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist Prescribing (Medical) (Licence: MI 5101806943) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2013-08-13 |