| NPI | 1104215680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHIA Z ZOLNOSKI Chief Financial Officer 586-275-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015090) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2016-02-15 |