| NPI | 1396833208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT BRADY Director 989-576-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012763) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-03-18 |