| NPI | 1437391950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYSSA ANNE WINGFIELD Office Manger 248-414-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |