| NPI | 1225449473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SULFARO Clinical Psychologist 248-761-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301013065) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |