| NPI | 1336761147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MAHER Clinic Director 248-476-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |