| NPI | 1972011245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A KLEIN President 248-851-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |