| NPI | 1760814289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURJIT S MAHAL Owner 734-324-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301046425) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |