| NPI | 1043590896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HATTON Licensed Psychologist 734-709-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6301012318) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-02-15 |