| NPI | 1376689968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L BOTTINELLI President Professional Corporation 810-230-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301001854) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-12-19 |