| 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 |