| NPI | 1811094543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE M SNELLING President 313-533-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |