| NPI | 1467055392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HUGHES Executive Director Clinical Operati 734-250-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2024-10-12 |