| NPI | 1780746602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA RAMANA JASTY Psychiatrist 586-484-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: MI 4301057306) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-06-21 |