| NPI | 1154070027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUZANNE SHAW-DRAVES Limited License Psychologist 248-207-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2022-03-19 |