| NPI | 1679992432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BINGHAM Owner/Director 734-369-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015753) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-11-16 |