| NPI | 1134544331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FADELL Licensed Psychologist 248-515-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301013520) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |