| NPI | 1235703257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZI NAGUIB Clinical Director 734-222-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |