| NPI | 1003094178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHRYN ANDERSON Psychologist/Manager 734-327-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6301008873) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |