| NPI | 1568044238 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LEORA PNINA BAR-LEVAV President 248-353-0050 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-04-22 | 
| Last Update Date | 2021-04-22 |