| NPI | 1356517791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M JOSEPH Managing Director 248-579-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-05-18 |