| NPI | 1235336579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B LAMB Director 907-228-8327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301000797) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2016-03-09 |