| NPI | 1073712444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A WHITE Director 517-484-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301010400) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |