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 |