| NPI | 1609127232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA FREECE Psychologist 734-981-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301014786) |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2012-09-22 |