| NPI | 1184223133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK MCDUNN Licensed Clinical Psychologist 248-396-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |