| NPI | 1518329671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LEWIS Clinical Director 586-231-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011383) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2022-03-14 |