NPI | 1720284284 |
---|---|
Entity Type | Organization |
Authorized Contact | FIROZA B VAN HORN Owner 248-858-8412 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007958) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2018-03-29 |