NPI | 1811219678 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J FLEWELLING CEO 248-980-7997 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014084) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2012-12-03 |