| NPI | 1790817294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN B DEHORN Owner 248-723-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002233) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-08-22 |