| NPI | 1962752436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA EWELL FOSTER Director 734-764-9466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |