| NPI | 1285854075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S. BISHOP Clinical Director 734-741-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 5327) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |