| NPI | 1508446790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON S CARDEW Sole Member 248-802-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |