| NPI | 1205967163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J PALAZZOLO V.P. Finance 313-343-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-06-25 |