| NPI | 1366639965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A CLEMENTE President 586-620-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2015-01-06 |