| NPI | 1326441809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANDREW GALL Owner/Clinical Director 248-656-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301011878) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2020-05-11 |