NPI | 1932205101 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN A WEEKS Sole Member And Manager 248-650-5113 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301009224) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2018-06-04 |