| NPI | 1346419264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHAILLE RICH Owner 734-528-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301013629) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |