| NPI | 1053709253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARIA ESPINOSA Licensed Clinical Psychologist 248-925-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301015541) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2015-03-27 |