| NPI | 1427468404 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ESRA KARACA Clinical Psychologist 248-270-7808 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301015831) | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6301015831) | 
| Enumeration Date | 2014-04-30 | 
| Last Update Date | 2014-04-30 |