| NPI | 1659898526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDREW BAMBERY Owner 734-738-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013977) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |