| NPI | 1205515541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL KELLY BACKEBERG Owner & Licensed Psychologist 734-335-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2026-08-21 |