| NPI | 1700141215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE ROBERSON Owner 734-377-9282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |