| NPI | 1396875332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BONO President 810-220-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002625) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |