| NPI | 1447706213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE LUXON Clinical Director 248-791-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301016242) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2020-09-30 |