| NPI | 1750668281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SHORT President 248-334-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301029412) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |