| NPI | 1982082905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LOUISE RAVENELL Psychologist 586-208-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301015937) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |