| NPI | 1669821625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M ORSINI Clinic Director 248-663-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088312) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015074) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-08-04 |