| NPI | 1598203002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE WOLF Clinical Director 734-255-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013207) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |