| NPI | 1487062121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY KERR Staff Psychotherapist 248-474-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6401001620) |
| Additional Taxonomies | 251S00000X (Licence: MI 6301008639) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |