| NPI | 1811166762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA L. FERGUSON Physician 248-335-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 407595) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |