| NPI | 1104848068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARK COTTER President Owner 248-553-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301008484) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2007-10-23 |