| NPI | 1881379212 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LINDSEY LONG Founder, Pediatrician 734-834-0926 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208000000X Pediatrics | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| 101YM0800X Counselor, Mental Health | |
| 261Q00000X Clinic/Center | |
| 103T00000X Psychologist | |
| 174400000X Specialist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-06-21 | 
| Last Update Date | 2025-09-22 |