| NPI | 1811884976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE R BYRNES Presedent 586-601-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |