| NPI | 1619261690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R SAVICKAS Sole Member 734-479-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |