| NPI | 1184846255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANGELINE WAITES Licensed Psychologist 734-662-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6301001241) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-12-06 |