| NPI | 1215315932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A MCCASKILL Owner 734-416-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012563) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301012562) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |