| NPI | 1669752218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R WRIGHT Operations Manager 313-406-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 04071M) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2016-12-13 |