| NPI | 1851410849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY M. MILLER President 734-662-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301034373) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301034373) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |