| NPI | 1245667443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HANES President And CEO 586-744-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014205) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2024-09-13 |