NPI | 1063706141 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HARRIS Owner/Operator 248-477-0110 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MI 4301060044) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2011-06-20 |