| NPI | 1356660583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALTON MCCASKILL Licensed Clinical Psychologist 734-416-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012562) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-29 |