| NPI | 1801571005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA L QUINN Office Manager 586-286-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |