| NPI | 1467831503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ESSENBURG Psychologist 248-568-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301012902) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |