| NPI | 1659682383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY JAY Licensed Clinical Psychologist 248-626-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301002993) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |