| NPI | 1932358371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANN BORDEAU WILLIAMS Limited License Psychologist 248-303-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6301008803) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |