NPI | 1215953815 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMALA RIESSINGER President 517-364-5326 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007347) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2014-07-29 |