| NPI | 1669010435 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RACHEL RODORIGO Licensed Psychologist 734-771-4400 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2019-12-12 | 
| Last Update Date | 2019-12-12 |