| NPI | 1912244310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR MEDINA Psychiatrist 248-258-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 2606304582) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |