| NPI | 1013166578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J CERESNIE Owner 734-453-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301002659) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-10-27 |