| NPI | 1821101072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. SCOTT ALLEN Owner/President 248-626-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI JA025916) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-09-16 |