| NPI | 1952326837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA FOSTER Assistant Director Mary A. Rackham 734-764-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-05-23 |