| NPI | 1053796557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURETTE LIPMAN Owner/Therapist 248-956-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MI 6401013286) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-07-25 |