| NPI | 1164611059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KNOWLES Clinical Psychologist 734-347-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301009946) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2010-07-08 |