| NPI | 1235094541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMYNA FTOUNI Owner 313-444-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0100X Psychologist, Health Service | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |