| NPI | 1588942056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD JAFFERANY Doctor 989-790-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 1811008139) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2018-06-01 |