| NPI | 1932382181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MICHELLE BRAZZLE Psychiatrist 248-932-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MI 4301052026) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4301052026) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |