| NPI | 1194082289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RAY PIPER Psychotherapist 734-995-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801046603) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-10-17 |