NPI | 1942468459 |
---|---|
Entity Type | Organization |
Authorized Contact | VENKAT TALASILA Psychiatrist 989-893-3212 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 4301407245) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2008-05-30 |