| NPI | 1043352701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL LISIECKI President 810-227-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301003173) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-06-17 |