| NPI | 1952326837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGHAN FESLER Clinic And Operations Manager 734-764-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-07-25 |