| NPI | 1154816635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW EVERETT SCHAFER Therapist 734-778-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015393) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-11-13 |