| NPI | 1457551756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D. LEIX CEO 989-667-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MI 4301026598) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |