| NPI | 1720360456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN HOBERMAN Lead Therapist/ Owner 248-561-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MI 68010111116) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |