| NPI | 1215371026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY ANNE CHARLES President Of Corp 248-345-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301002227) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |