| NPI | 1225255771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN HULBERT President 248-415-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006332) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-05-10 |