| NPI | 1912596958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYEASHA WILLIAMS Clinical Director 248-469-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |