| 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 |