| NPI | 1710279617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BURDA MASTROGIANIS Director 586-262-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301013176) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2023-08-31 |