| NPI | 1144751504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S ROSENBAUM Owner / Authorized Official 734-677-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301001432) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-04-27 |