| NPI | 1225295389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TOMAKOWSKY Manager 248-543-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008435) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-07-24 |