| NPI | 1295275923 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PETER FOSTER-FISHMAN Psychologist 517-449-6245  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 6301009240)  | 
| Enumeration Date | 2017-02-28 | 
| Last Update Date | 2025-05-30 |