| NPI | 1669564837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOSEPH FUSCIARDI Clinical Psychologist/ President 586-323-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301005314) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-06-02 |