| NPI | 1689054595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY L DELPH Office Manager 734-677-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301001432) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |