| NPI | 1235403809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH LINDA THURSWELL President 248-613-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014257) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6401009511) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |