| NPI | 1811767981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR D HARRELL Physician Assistant & Social Worker 586-457-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |