| NPI | 1417308347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAUDIA N PICKENS Owner 517-347-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MI 4301092517) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-08-03 |