| NPI | 1649389974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WEINSTEIN President 248-471-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |