| NPI | 1194904029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN VAN CLEAVE President 989-772-6241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002777) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2007-10-27 |