| NPI | 1437898707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SMITH Owner 989-408-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |