| NPI | 1679346282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN JANE ONG Master's Level Psychologist 248-225-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-08-15 |