| NPI | 1841436201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN ANDRZEJCZAK Clinical Psychologist 313-885-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MI 6301009783) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |