| NPI | 1801033568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLYN WELSH WAGNER President 248-258-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 430105004) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |