| NPI | 1841781531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN GREULICH Authorized Official/ Manager 313-900-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-08-30 |