| NPI | 1750556783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR PARIS Owner 248-592-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI IP066386) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |