| NPI | 1164816195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A CLEMENTE Director 248-894-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2018-08-22 |