| NPI | 1932369949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L AMICK Director 248-888-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301009808) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |