| NPI | 1851448146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R SCOTT LEVELY Chief Financial Officer 734-455-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 4301043592) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-08-20 |