NPI | 1457458374 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL KAYE Clinical Psychologist 248-399-2122 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MI 6301002096) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |