| NPI | 1740496447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CASSADY Owner 586-254-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012228) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301012228) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301012228) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |