| NPI | 1699840058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS HALPERN Provider Owner 734-222-6046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI RH008342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI LT070346) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |