| NPI | 1518380666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMEKA WHITEHEAD Psychologist 248-506-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 630104388) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |