| NPI | 1225576960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ROTENHEBER Psychologist 248-933-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MI 6301016076) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |