| NPI | 1306905625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PERSCHBACHER Owner 989-779-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007695) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-02-07 |