| NPI | 1942319074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN STANLEY MILLER Owner 517-332-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MI 4301037444) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |