Organization Name: | COMMERCE PSYCHIATRIC SERVICES PLC |
NPI Number: | 1134203896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE LELAND ROTH (OWNER) |
Mailing Address: | 55 North Pond Drive Suite 6 Walled Lake |
State: | MI US |
Postal Code: | 48390 |
Phone Number: | 2486691900 |
Fax Number: | 2486691925 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |