| NPI | 1891037735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL C. BRUCE Managing Partner 248-624-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: MI 6301007332) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2018-03-17 |