| NPI | 1346518503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET GILCHRIST JORDAN Psychologist 248-563-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301011483) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2012-04-26 |