| NPI | 1497179170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE DURANT Chif Financial Officer 313-344-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2016-10-28 |