| NPI | 1730408477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER V LOGAN Billing Manager 734-844-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301076021) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |