| NPI | 1982807442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT R LADD Md 248-290-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MI GL073196) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |