| NPI | 1710276084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN PYETT Director 734-677-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: MI 6301005140) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: MI 6801018804) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |