| NPI | 1821275751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY REUBEN KERTES Owner 248-851-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301009043) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2020-04-21 |