| NPI | 1336331503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY CHARLES HOWARD President 571-333-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002824) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-10-15 |