| NPI | 1700061397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J. THOMAS President/CEO 248-557-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301003342) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |