| NPI | 1881036754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY LOUIS KAMOO Owner 248-910-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007666) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-06-20 |