| NPI | 1538444930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY DEAN ROCKAFELLOW President 248-212-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012927) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2012-02-01 |