| NPI | 1073350708 |
|---|---|
| Doing Business As | MID-MITTEN PSYCHOLOGICAL SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | TAYLOR LYNN GILSON Owner 989-573-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |