| NPI | 1780836734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY TAGLIONE Billing Superv 734-414-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 4301053454) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |