| NPI | 1093136392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUSTIN BRAYMAN Psychotherapist 517-980-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 081396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081396) |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2014-01-04 |