| NPI | 1205263308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN OLIPHANT Vice President 248-924-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301005964) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |