| NPI | 1790037000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY DEAN ROCKAFELLOW President/Owner 248-656-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |