| NPI | 1437278249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA LOU WHITING Office Manager 517-323-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |