Organization · NPI-2
Advanced Psychiatric Medicine, P.C.
Clinic/Center, Mental Health (Including Community Mental Health Center) · Livonia, MI
NPI number1215075460
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1215075460
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Psychiatric Medicine, P.C.
- Organization subpart
- No
- Enumeration date
- Feb 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 033694 | MI | Yes |
Practice location
29240 Buckingham StSuite 8a
Livonia, MI 48154-4575
Phone 248-299-4211 · Fax 248-299-2392
Mailing address
29240 Buckingham StSuite 8a
Livonia, MI 48154-4575
Phone 248-299-4211 · Fax 248-299-2392
Authorized official
Jorge S Zuniga
President
2482994211
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