| NPI | 1841600103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA EWELL FOSTER Director 734-764-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |