| NPI | 1710181946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE KAY HALEY President 248-538-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301006010) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |