NPI | 1386655314 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE ANN RATLIFFE Director 248-355-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010435) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |