| NPI | 1306957444 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRADLEY L SCHWEDA Psychologist 517-780-0809  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301044183)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301010119)  | 
| 103TC0700X Psychologist, Clinical (Licence: MI 6302006268)  | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI 4301044183)  | |
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2025-09-11 |