| NPI | 1669790341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM D. KEMSKE President 248-615-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013347) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |