| NPI | 1790938132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SELZNICK Managing Partner 734-464-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |