NPI | 1801102744 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL D WARD Clinical Psychologist/President 586-777-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014162) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2021-02-23 |