| NPI | 1992728331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUNA BAVINENI Staff Psychiatrist 734-459-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MI 4301059562) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-13 |