| NPI | 1497048425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET STACK President 248-546-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301005353) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2023-09-25 |