| NPI | 1629421318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA-TOYA GAINES President/Owner 313-449-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301015276) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |