| 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 |