| NPI | 1881229151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANON BREISACHER SUGARMAN Psycotherapist 248-444-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-04-03 |