NPI | 1023508918 |
---|---|
Former Legal Business Name | ROBERT MOESTA EVALUATION AND TREATMENT SERVICES |
Entity Type | Organization |
Authorized Contact | ROBERT K MOESTA Owner 734-945-7490 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301009756) |
Enumeration Date | 2018-05-16 |
Last Update Date | 2018-05-16 |