| NPI | 1093989162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HAYES Clinical Director 231-941-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301008748) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2010-05-06 |