| NPI | 1043510134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART L DONESON President 517-203-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 005005) |
| Enumeration Date | 2010-10-24 |
| Last Update Date | 2010-10-24 |