| NPI | 1346411220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENELOPE A HALE Owner 313-278-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301002422) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |